HomeMy WebLinkAbout30139715 - Permit (2)city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (7141867-2738 lnspector Section: (714) 647-5853
Permit #: 30{39715
Pin #: 338OO
Project Address: 2424 N Tustin Ave
AssessodsParcel: 396-261-55 Lot: 8
Unit:
Block: A
Suite Range: Unit A.0
Zoning: R4
E
Owner:
Address:
Contractor
Address:
Tenant Name
The Bascom Group
26 Corporate Park Drlve, Suite 200
lrvine, CA 92605
(866) 69s-5s91
Katerra Renovation3, LLC
3200 Earhart Orive
Carrollton, TX 75006
(972) 818-1065
01116002 51602
01116002 51602
011'16002 51600
011'16002 51602
Amount
12.70
11.97
22.08
55.04
Fee
$s0.80
$1 1.97
$22.08
$55.04
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
4.00
1.00
1.00
1.00
Phone
Slate Lic #: 1009989
Lic Type:. B
Bus. Lic #r 366547
Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWCo139070
Expires: O1lO1l2O19
Botch+:{519( - 8./3/201S I0: CCUELLARoffice: CTYH TroBsi! I 1 of 39Ac.t+: R€fi: 3013?715
Rcpti:02347.{3, - 8/3/2018 2.22 ?n
Tronsoct ion Totol t5r243.53
Katerro ftenovot ions, LLC
Genenol Plon tlpdote Fee
0u 16002- 51600000-
Plurb ine
01116002- 51602000-
ICL Check 003020
t',tz ,tlB
tl17.Sr
Building use:
Job Type:
Nalure of Work;
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued Byl
Sub.iect to Field:
Building Permit #:
Multi-Family (5 or more uni occupancy:
Miscellaneous Constr Type
Fixlure change outs (unit 4) Code:
R-2
VB
cPc 2016 Fixture
l5q
ctrrmtc*l*$$it*bary
t5 r 143.9t1
t99.63
Authi I Lr5ztr17
Chavez, Dave
Every perfiil issued shall becone invalid unless the wo* on the site
authorized by such pennit is commenced within 180 days aftet its
issuance, or if the wo* duthoized on the site by such pemit is suspended
ot abandonod lot a poiod of 180 days afler the lime lhe work is
commenc:ed.
08/03/2018
Account#
$139.89
$0.00
$139.89
lnspeclor MID#: 2018-144266
01116002 51600
01 1 16002 51602
$22.08
$1 17.81
Fee Total:
Paid to Date:
Balance Due:
Bldg: 24-A Address Range:
Tract: A.B. CHAPMAN Historic: No
Phone:
Notesl
Date:
Date:
Date:
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
PLUMBING.INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNEN BUILDER DELCAR TION
I h.rchy dtrEm !nd.r ,.nahy oa I'ci!ry rhd I d excdd tum rh. Co 6.loN Lscos L5w lor rlE followirB t4en (Se.7!1 1.5
ausinc$ ard Profcssion Codc)r Aoy Ciry or Cou y whhh tcquics . Fmil lo onntuc( 0llcr. nt{mvc, demlish or rcFtr ;y
studurc. rbio il3 ilsu.re, slso reqlircs ln a?pli! ror such Fmi kr lilc t sieicd 3ttl.m lhal hcor drc a lien$n plMaln
ro rh€ Dmvisio.r of rhc ConrEcroii Lieiscn t,w (Ch!plc.9. Commncing wilh Sftrion 7000 of Dirkhn 3 oalh. Alsincss a.d
Pefcsrh ns Codc ) o! | hai h. or shc is .r.nq,l lhcrciio m lnd I hc hosis for t hc ,lkgcn cxctrpr io.. Any viold io. o a Sc.rion 701 L 5 by dny
0mlka.r for a pcmir sb.iels rlE aprlic.trr ro . civil pcnahy of nol rcrc t . iv. hu.drcd dolles (t50O).
-1.
.r owrcr oarhc p6Fnt or m, cmplottcs silh BaSca ar rhcn sb @nF.s8l ion. eill do llE wnk !d llE nntl@ b Dr
inrclrH or oficEd for sle (Se.7(x4, Burin.ss ind PFf.si.ns Cd. Th. Conlroclols Licn* Llw docs nor .pply ro an owftt of
rh. ppcny who hfirr or if,pmws tlEmn. od wto d6 sh qorl hihscll or ncef or dmu8l nh or n r oqn .nployce\.
nrovidcd rnd such itrllmrftirs d hr inlc.d.rl rlrcnn for sL. la thww. UE tridnB m iqrcrcm is eld ehhin om Fe
of.oq,lciotr t}r O*n r Buildd wiu hlw tlr bhhn ol ptuvins ${l hc or lhe dt d build or impDrc tnc I,oIEly for tu pu.Ibk ol
-1,
as owrc! of rhc FmFnr. rn cxclusivcly .onrscting wirh lis.scd conto.toF to consttucl llt poj.cl (Se 7044. BusiN$
lnd P,tLsin Codc: Thc ConrBclols Lhcnsc ti* des nor apnly b an own( or prorEriy who builds or imptuEs rh$.on.
lnd who @ ad. ao, su.h FDj.ds ailh ! Conlrsclo(s) lkcnkn pus@nl lo thc Contrdors Lic.M trw).
-l
mcrcilpr undd S6tioo - B. & P.C for this Mon
laBtrE8c-cl}MPilsAtrox
DESdAAII!}N
I hcrcby aflirm und( p.mlry of p.rury om of lh. followir8 dc.LElhnsl
-lhivcmduillnr.irrli'raCcfliticarcofc.nktrrnrsclflnsurcturwolkc6
c.trrj--n\nrion. s\ Pruridcd fitr hy Scdion 17m ol l hc
fah.r (i{lc. io hc rc '()nuncc olrhc trork ftrwhich rhL pcrn r k tsucd
-lhrlc
andsiilmainllio sork.A $np.nsalio nrsurnnc.. !s rcquncd bySccrionlTfilorrhc l-$or Codc. lor rhc lqfo,mon.c ot
pcmlil ir hsu.d. My wori.m .omlB.saiion inslnrcc wic, and Fliy nunbd @:
(
co\?r \.\.\1
-l.cdifr
rh.r in rh. Frformre of lhc,ort for which lhh pcnnit is Lisn d. I shlll nol.nPhy lny FMn in any @m,
so as to hc.otu slbjccr ro rhc eortdc oDl,.nsd6n lows .f Cllifomi,. and asEc lhar if I should h.rom sub.iel to th.
wo*si ompcnsarion pDri3ions or ssrion 1700 of lh. tibor Codc. l sn ll fonheirh @mply *nh lhos pmvirions..
WARNIN(;] Fnilurc ro *.uc qorkc,l conrpcnqrlbn srvcr4c
.ivil fi.ci up to oc hun&.d llEusnd doll6 ($IOO,O00). in lddi
$"IilU.":
DEEIABAII9!
I h.rby rfatrflr undcr Nnllryofpcrlnry nrd I rn lic..s.d u dcr lovhionol Chprcr 9 (conn.ncina wirhsccrion7m0) otDivisinr:l
or rhc Busin ss md Pmlcssionr (odc. aftl my liccnsc t in tull til'tu rnd cficcls lcd,arq
colilallclroN.LENluNctqllcr
I hcEby trlftrm lnds p.nalty of |)cdury lhal rhft h s onnrucii,n lcnding ogcey aor lhc pfifo@Ec oa lhc woIk for qticn rhh IEmI ir
is\x.d (Sc.. 1097, Civ. C.)
AIPIIQINLIIEIIAM.IION
I lErc6y dtm undcr p.nrlry orr.rjury onc ofrhe lhllowin8 dslnftrions:
DcnFlnion Pcrnirs-Asbc(os Nori6.n!ion Fcdcrrl RcBulrrions lTnlc 40, P0n6)
-Rcquned
Lrrcrof M ifi.,rirn
I ccniay rhrr rhc rcdcml rcBulorions rcssdinB lsbcslosrcmrvalrrc nor trollh,th lo thh pmirl
-.1tsi .dify rhar I h.rc rcad tNs E dhdion rrd narc rhd lhc abh inaormrbn is coret. I ssE lo onl9ly sirh .ll Cily .nd Counly
ordiMtrccs snd Srarc lj*s dlarins io buildir8const
lborc mflioncd p$,)crry lor inrtNrion
Applic.nl or Agent Signalue:
P€mltellm.(prhl):Y
,*"*.*,,*,.$UG,,
ff E' Il,,l t
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing -d/,</lt ,\w
Final Gas Test
Meler Release
FINAL I T/blie =[1qNotes, Remarks, Etc.
APPROVALS
Tub/Shower Test
.AUG
,.^,*,". Y4+r€
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